This
Value
Set
is
normative
-
it
is
generated
based
on
the
information
defined
in
this
specification.
The
definition
will
remain
fixed
across
versions,
but
the
actual
contents
will
change
from
version
to
version

Actual
or
potential/avoided
event
causing
unintended
physical
injury
resulting
from
or
contributed
to
by
medical
care,
a
research
study
or
other
healthcare
setting
factors
that
requires
additional
monitoring,
treatment,
or
hospitalization,
or
that
results
in
death.

Basic
is
used
for
handling
concepts
not
yet
defined
in
FHIR,
narrative-only
resources
that
don't
map
to
an
existing
resource,
and
custom
resources
not
appropriate
for
inclusion
in
the
FHIR
specification.

A
binary
resource
that
represents
the
data
of
a
single
raw
artifact
as
digital
content
accessible
in
its
native
format.
A
Binary
resource
can
contain
any
content,
whether
text,
image,
pdf,
zip
archive,
etc.

A
Capability
Statement
documents
a
set
of
capabilities
(behaviors)
of
a
FHIR
Server
for
a
particular
version
of
FHIR
that
may
be
used
as
a
statement
of
actual
server
functionality
or
a
statement
of
required
or
desired
server
implementation.

Describes
the
intention
of
how
one
or
more
practitioners
intend
to
deliver
care
for
a
particular
patient,
group
or
community
for
a
period
of
time,
possibly
limited
to
care
for
a
specific
condition
or
set
of
conditions.

The
resource
ChargeItem
describes
the
provision
of
healthcare
provider
products
for
a
certain
patient,
therefore
referring
not
only
to
the
product,
but
containing
in
addition
details
of
the
provision,
like
date,
time,
amounts
and
participating
organizations
and
persons.
Main
Usage
of
the
ChargeItem
is
to
enable
the
billing
process
and
internal
cost
allocation.

The
ChargeItemDefinition
resource
provides
the
properties
that
apply
to
the
(billing)
codes
necessary
to
calculate
costs
and
prices.
The
properties
may
differ
largely
depending
on
type
and
realm,
therefore
this
resource
gives
only
a
rough
structure
and
requires
profiling
for
each
type
of
billing
code
system.

A
record
of
a
clinical
assessment
performed
to
determine
what
problem(s)
may
affect
the
patient
and
before
planning
the
treatments
or
management
strategies
that
are
best
to
manage
a
patient's
condition.
Assessments
are
often
1:1
with
a
clinical
consultation
/
encounter,
but
this
varies
greatly
depending
on
the
clinical
workflow.
This
resource
is
called
"ClinicalImpression"
rather
than
"ClinicalAssessment"
to
avoid
confusion
with
the
recording
of
assessment
tools
such
as
Apgar
score.

A
code
system
The
CodeSystem
resource
specifies
a
set
is
used
to
declare
the
existence
of
codes
drawn
from
one
and
describe
a
code
system
or
more
code
systems.
system
supplement
and
its
key
properties,
and
optionally
define
a
part
or
all
of
its
content.

A
request
to
convey
information;
e.g.
the
CDS
system
proposes
that
an
alert
be
sent
to
a
responsible
provider,
the
CDS
system
proposes
that
the
public
health
agency
be
notified
about
a
reportable
condition.

A
set
of
healthcare-related
information
that
is
assembled
together
into
a
single
logical
document
package
that
provides
a
single
coherent
statement
of
meaning,
establishes
its
own
context
and
that
has
clinical
attestation
with
regard
to
who
is
making
the
statement.
While
a
A
Composition
defines
the
structure,
it
structure
and
narrative
content
necessary
for
a
document.
However,
a
Composition
alone
does
not
actually
contain
constitute
a
document.
Rather,
the
content:
rather
Composition
must
be
the
full
content
of
a
document
is
contained
first
entry
in
a
Bundle,
of
which
the
Bundle
where
Bundle.type=document,
and
any
other
resources
referenced
from
Composition
is
must
be
included
as
subsequent
entries
in
the
first
resource
contained.
Bundle
(for
example
Patient,
Practitioner,
Encounter,
etc.).

A
statement
of
relationships
from
one
set
of
concepts
to
one
or
more
other
concepts
-
either
concepts
in
code
systems
systems,
or
data
elements,
element/data
element
concepts,
or
classes
in
class
models.

A
record
of
a
healthcare
consumer’s
policy
choices,
which
permits
or
denies
identified
recipient(s)
or
recipient
role(s)
to
perform
one
or
more
actions
within
a
given
policy
context,
for
specific
purposes
and
periods
of
time.

A
formal
agreement
between
parties
regarding
the
conduct
of
business,
exchange
of
information
Legally
enforceable,
formally
recorded
unilateral
or
other
matters.
bilateral
directive
i.e.,
a
policy
or
agreement.

The
formal
description
of
a
single
piece
CoverageEligibilityRequest
provides
patient
and
insurance
coverage
information
to
an
insurer
for
them
to
respond,
in
the
form
of
an
CoverageEligibilityResponse,
with
information
that
can
be
gathered
regarding
whether
the
stated
coverage
is
valid
and
reported.
in-force
and
optionally
to
provide
the
insurance
details
of
the
policy.

Indicates
an
actual
or
potential
clinical
issue
with
or
between
one
or
more
active
or
proposed
clinical
actions
for
a
patient;
e.g.
Drug-drug
interaction,
Ineffective
treatment
frequency,
Procedure-condition
conflict,
etc.

This
resource
identifies
an
instance
or
a
A
type
of
a
manufactured
item
that
is
used
in
the
provision
of
healthcare
without
being
substantially
changed
through
that
activity.
The
device
may
be
a
medical
or
non-medical
device.
Medical
devices
include
durable
(reusable)
medical
equipment,
implantable
devices,
as
well
as
disposable
equipment
used
for
diagnostic,
treatment,
and
research
for
healthcare
and
public
health.
Non-medical
devices
may
include
items
such
as
a
machine,
cellphone,
computer,
application,
etc.

The
findings
and
interpretation
of
diagnostic
tests
performed
on
patients,
groups
of
patients,
devices,
and
locations,
and/or
specimens
derived
from
these.
The
report
includes
clinical
context
such
as
requesting
and
provider
information,
and
some
mix
of
atomic
results,
images,
textual
and
coded
interpretations,
and
formatted
representation
of
diagnostic
reports.

A
reference
to
a
document.
document
of
any
kind
for
any
purpose.
Provides
metadata
about
the
document
so
that
the
document
can
be
discovered
and
managed.
The
scope
of
a
document
is
any
seralized
object
with
a
mime-type,
so
includes
formal
patient
centric
documents
(CDA),
cliical
notes,
scanned
paper,
and
non-patient
specific
documents
like
policy
text.

The
EligibilityRequest
provides
patient
and
insurance
coverage
information
to
an
insurer
for
them
to
respond,
in
EffectEvidenceSynthesis
resource
describes
the
form
of
difference
in
an
EligibilityResponse,
with
information
regarding
whether
outcome
between
exposures
states
in
a
population
where
the
stated
coverage
effect
estimate
is
valid
and
in-force
and
optionally
to
provide
the
insurance
details
of
the
policy.
EligibilityResponse
EligibilityResponse
This
resource
provides
eligibility
and
plan
details
derived
from
the
processing
a
combination
of
an
Eligibility
resource.
research
studies.

The
technical
details
of
an
endpoint
that
can
be
used
for
electronic
services,
such
as
for
web
services
providing
XDS.b
or
a
REST
endpoint
for
another
FHIR
server.
This
may
include
any
security
context
information.

An
association
between
a
patient
and
an
organization
/
healthcare
provider(s)
during
which
time
encounters
may
occur.
The
managing
organization
assumes
a
level
of
responsibility
for
the
patient
during
this
time.

Resource
to
define
constraints
on
The
Evidence
resource
describes
the
Expansion
of
conditional
state
(population
and
any
exposures
being
compared
within
the
population)
and
outcome
(if
specified)
that
the
knowledge
(evidence,
assertion,
recommendation)
is
about.

A
formal
computable
definition
of
a
graph
of
resources
-
that
is,
a
coherent
set
of
resources
that
form
a
graph
by
following
references.
The
Graph
Definition
resource
defines
a
set
and
makes
rules
about
the
set.

Represents
a
defined
collection
of
entities
that
may
be
discussed
or
acted
upon
collectively
but
which
are
not
expected
to
act
collectively
collectively,
and
are
not
formally
or
legally
recognized;
i.e.
a
collection
of
entities
that
isn't
an
Organization.

Representation
of
the
content
produced
in
a
DICOM
imaging
study.
A
study
comprises
a
set
of
series,
each
of
which
includes
a
set
of
Service-Object
Pair
Instances
(SOP
Instances
-
images
or
other
data)
acquired
or
produced
in
a
common
context.
A
series
is
of
only
one
modality
(e.g.
X-ray,
CT,
MR,
ultrasound),
but
a
study
may
have
multiple
series
of
different
modalities.

Describes
the
event
of
a
patient
being
administered
a
vaccination
vaccine
or
a
record
of
a
vaccination
an
immunization
as
reported
by
a
patient,
a
clinician
or
another
party
and
may
include
vaccine
reaction
information
and
what
vaccination
protocol
was
followed.
party.

A
patient's
point-in-time
immunization
and
recommendation
set
of
recommendations
(i.e.
forecasting
a
patient's
immunization
eligibility
forecasting)
according
to
a
published
schedule)
schedule
with
optional
supporting
justification.

A
set
of
rules
of
how
FHIR
is
used
to
solve
a
particular
problem.
interoperability
or
standards
problem
is
solved
-
typically
through
the
use
of
FHIR
resources.
This
resource
is
used
to
gather
all
the
parts
of
an
implementation
guide
into
a
logical
whole
and
to
publish
a
computable
definition
of
all
the
parts.

The
Library
resource
is
a
general-purpose
container
for
knowledge
asset
definitions.
It
can
be
used
to
describe
and
expose
existing
knowledge
assets
such
as
logic
libraries
and
information
model
descriptions,
as
well
as
to
describe
a
collection
of
knowledge
assets.

This
resource
is
primarily
used
for
the
identification
and
definition
of
a
medication.
It
covers
medication
for
the
ingredients
purposes
of
prescribing,
dispensing,
and
the
packaging
for
administering
a
medication.
medication
as
well
as
for
making
statements
about
medication
use.

Describes
the
event
of
a
patient
consuming
or
otherwise
being
administered
a
medication.
This
may
be
as
simple
as
swallowing
a
tablet
or
it
may
be
a
long
running
infusion.
Related
resources
tie
this
event
to
the
authorizing
prescription,
and
the
specific
encounter
between
patient
and
health
care
practitioner.

Indicates
that
a
medication
product
is
to
be
or
has
been
dispensed
for
a
named
person/patient.
This
includes
a
description
of
the
medication
product
(supply)
provided
and
the
instructions
for
administering
the
medication.
The
medication
dispense
is
the
result
of
a
pharmacy
system
responding
to
a
medication
order.

An
order
or
request
for
both
supply
of
the
medication
and
the
instructions
for
administration
of
the
medication
to
a
patient.
The
resource
is
called
"MedicationRequest"
rather
than
"MedicationPrescription"
or
"MedicationOrder"
to
generalize
the
use
across
inpatient
and
outpatient
settings,
including
care
plans,
etc.,
and
to
harmonize
with
workflow
patterns.

A
record
of
a
medication
that
is
being
consumed
by
a
patient.
A
MedicationStatement
may
indicate
that
the
patient
may
be
taking
the
medication
now,
now
or
has
taken
the
medication
in
the
past
or
will
be
taking
the
medication
in
the
future.
The
source
of
this
information
can
be
the
patient,
significant
other
(such
as
a
family
member
or
spouse),
or
a
clinician.
A
common
scenario
where
this
information
is
captured
is
during
the
history
taking
process
during
a
patient
visit
or
stay.
The
medication
information
may
come
from
sources
such
as
the
patient's
memory,
from
a
prescription
bottle,
or
from
a
list
of
medications
the
patient,
clinician
or
other
party
maintains
maintains.
The
primary
difference
between
a
medication
statement
and
a
medication
administration
is
that
the
medication
administration
has
complete
administration
information
and
is
based
on
actual
administration
information
from
the
person
who
administered
the
medication.
A
medication
statement
is
often,
if
not
always,
less
specific.
There
is
no
required
date/time
when
the
medication
was
administered,
in
fact
we
only
know
that
a
source
has
reported
the
patient
is
taking
this
medication,
where
details
such
as
time,
quantity,
or
rate
or
even
medication
product
may
be
incomplete
or
missing
or
less
precise.
As
stated
earlier,
the
medication
statement
information
may
come
from
the
patient's
memory,
from
a
prescription
bottle
or
from
a
list
of
medications
the
patient,
clinician
or
other
party
maintains.
Medication
administration
is
more
formal
and
is
not
missing
detailed
information.

Defines
the
characteristics
of
a
message
that
can
be
shared
between
systems,
including
the
type
of
event
that
initiates
the
message,
the
content
to
be
transmitted
and
what
response(s),
if
any,
are
permitted.

The
header
for
a
message
exchange
that
is
either
requesting
or
responding
to
an
action.
The
reference(s)
that
are
the
subject
of
the
action
as
well
as
other
information
related
to
the
action
are
typically
transmitted
in
a
bundle
in
which
the
MessageHeader
resource
instance
is
the
first
resource
in
the
bundle.

A
formally
or
informally
recognized
grouping
of
people
or
organizations
formed
for
the
purpose
of
achieving
some
form
of
collective
action.
Includes
companies,
institutions,
corporations,
departments,
community
groups,
healthcare
practice
groups,
payer/insurer,
etc.

This
special
resource
type
is
a
non-persisted
resource
used
to
represent
an
operation
request
pass
information
into
and
response
(operations.html).
back
from
an
[operation](operations.html).
It
has
no
other
use,
and
there
is
no
RESTful
endpoint
associated
with
it.

This
resource
allows
for
the
definition
of
various
types
of
plans
as
a
sharable,
consumable,
and
executable
artifact.
The
resource
is
general
enough
to
support
the
description
of
a
broad
range
of
clinical
artifacts
such
as
clinical
decision
support
rules,
order
sets
and
protocols.

An
action
that
is
or
was
performed
on
or
for
a
patient.
This
can
be
a
physical
intervention
like
an
operation,
or
less
invasive
like
counseling
long
term
services,
counseling,
or
hypnotherapy.

ProcedureRequest
ProcedureRequest
A
record
of
a
request
for
diagnostic
investigations,
treatments,
or
operations
to
be
performed.
ProcessRequest
ProcessRequest
This
resource
provides
the
target,
request
and
response,
and
action
details
for
an
action
to
be
performed
by
the
target
on
or
about
existing
resources.
ProcessResponse
ProcessResponse
This
resource
provides
processing
status,
errors
and
notes
from
the
processing
of
a
resource.

Provenance
of
a
resource
is
a
record
that
describes
entities
and
processes
involved
in
producing
and
delivering
or
otherwise
influencing
that
resource.
Provenance
provides
a
critical
foundation
for
assessing
authenticity,
enabling
trust,
and
allowing
reproducibility.
Provenance
assertions
are
a
form
of
contextual
metadata
and
can
themselves
become
important
records
with
their
own
provenance.
Provenance
statement
indicates
clinical
significance
in
terms
of
confidence
in
authenticity,
reliability,
and
trustworthiness,
integrity,
and
stage
in
lifecycle
(e.g.
Document
Completion
-
has
the
artifact
been
legally
authenticated),
all
of
which
may
impact
security,
privacy,
and
trust
policies.

A
structured
set
of
questions
intended
to
guide
the
collection
of
answers
from
end-users.
Questionnaires
provide
detailed
control
over
order,
presentation,
phraseology
and
grouping
to
allow
coherent,
consistent
data
collection.

The
ResearchDefinition
resource
describes
the
conditional
state
(population
and
any
exposures
being
compared
within
the
population)
and
outcome
(if
specified)
that
the
knowledge
(evidence,
assertion,
recommendation)
is
about.

A
process
where
a
researcher
or
organization
plans
and
then
executes
a
series
of
steps
intended
to
increase
the
field
of
healthcare-related
knowledge.
This
includes
studies
of
safety,
efficacy,
comparative
effectiveness
and
other
information
about
medications,
devices,
therapies
and
other
interventional
and
investigative
techniques.
A
ResearchStudy
involves
the
gathering
of
information
about
human
or
animal
subjects.

A
process
where
a
researcher
or
organization
plans
and
then
executes
a
series
of
steps
intended
to
increase
the
field
of
healthcare-related
knowledge.
This
includes
studies
of
safety,
efficacy,
comparative
effectiveness
and
other
information
about
medications,
devices,
therapies
and
other
interventional
and
investigative
techniques.
A
ResearchStudy
involves
physical
entity
which
is
the
gathering
primary
unit
of
information
about
human
or
animal
subjects.
operational
and/or
administrative
interest
in
a
study.

The
ServiceDefinition
describes
a
unit
A
record
of
decision
support
functionality
that
is
made
available
as
a
service,
request
for
service
such
as
immunization
modules
diagnostic
investigations,
treatments,
or
drug-drug
interaction
checking.
operations
to
be
performed.

A
definition
of
a
FHIR
structure.
This
resource
is
used
to
describe
the
underlying
resources,
data
types
defined
in
FHIR,
and
also
for
describing
extensions
and
constraints
on
resources
and
data
types.

The
subscription
resource
is
used
to
define
a
push
based
push-based
subscription
from
a
server
to
another
system.
Once
a
subscription
is
registered
with
the
server,
the
server
checks
every
resource
that
is
created
or
updated,
and
if
the
resource
matches
the
given
criteria,
it
sends
a
message
on
the
defined
"channel"
so
that
another
system
is
able
to
can
take
an
appropriate
action.

Nucleic
acids
are
defined
by
three
distinct
elements:
the
base,
sugar
and
linkage.
Individual
substance/moiety
IDs
will
be
created
for
each
of
these
elements.
The
nucleotide
sequence
will
be
always
entered
in
the
5’-3’
direction.

A
SubstanceProtein
is
defined
as
a
single
unit
of
a
linear
amino
acid
sequence,
or
a
combination
of
subunits
that
are
either
covalently
linked
or
have
a
defined
invariant
stoichiometric
relationship.
This
includes
all
synthetic,
recombinant
and
purified
SubstanceProteins
of
defined
sequence,
whether
the
use
is
therapeutic
or
prophylactic.
This
set
of
elements
will
be
used
to
describe
albumins,
coagulation
factors,
cytokines,
growth
factors,
peptide/SubstanceProtein
hormones,
enzymes,
toxins,
toxoids,
recombinant
vaccines,
and
immunomodulators.

Source
material
shall
capture
information
on
the
taxonomic
and
anatomical
origins
as
well
as
the
fraction
of
a
material
that
can
result
in
or
can
be
modified
to
form
a
substance.
This
set
of
data
elements
shall
be
used
to
define
polymer
substances
isolated
from
biological
matrices.
Taxonomic
and
anatomical
origins
shall
be
described
using
a
controlled
vocabulary
as
required.
This
information
is
captured
for
naturally
derived
polymers
(
.
starch)
and
structurally
diverse
substances.
For
Organisms
belonging
to
the
Kingdom
Plantae
the
Substance
level
defines
the
fresh
material
of
a
single
species
or
infraspecies,
the
Herbal
Drug
and
the
Herbal
preparation.
For
Herbal
preparations,
the
fraction
information
will
be
captured
at
the
Substance
information
level
and
additional
information
for
herbal
extracts
will
be
captured
at
the
Specified
Substance
Group
1
information
level.
See
for
further
explanation
the
Substance
Class:
Structurally
Diverse
and
the
herbal
annex.

A
TerminologyCapabilities
resource
documents
a
set
of
capabilities
(behaviors)
of
a
FHIR
Terminology
Server
that
may
be
used
as
a
statement
of
actual
server
functionality
or
a
statement
of
required
or
desired
server
implementation.

A
value
set
ValueSet
resource
instance
specifies
a
set
of
codes
drawn
from
one
or
more
code
systems.
systems,
intended
for
use
in
a
particular
context.
Value
sets
link
between
[[[CodeSystem]]]
definitions
and
their
use
in
[coded
elements](terminologies.html).

A
few
code
lists
that
FHIR
defines
are
hierarchical
-
each
code
is
assigned
a
level.
In
this
scheme,
some
codes
For
value
sets,
levels
are
under
other
codes,
and
imply
that
the
mostly
used
to
organize
codes
for
user
convenience,
but
may
follow
code
they
are
under
also
applies
system
hierarchy
-
see
Code
System
for
further
information

Source

The
source
of
the
definition
of
the
code
(when
the
value
set
draws
in
codes
defined
elsewhere)

Code

The
code
(used
as
the
code
in
the
resource
instance).
If
the
code
is
in
italics,
this
indicates
that
the
code
is
not
selectable
('Abstract')

Display

The
display
(used
in
the
display
element
of
a
Coding
).
If
there
is
no
display,
implementers
should
not
simply
display
the
code,
but
map
the
concept
into
their
application